一种创新的方法来评估医学学生在高敏度模拟案例之前和之后感知到的同情沟通技巧
Rachna Subramony1, Sophia Aguirre1, Grace Furnari2
1Department of Emergency Medicine, UC San Diego, La Jolla, CA, USA.
Journal of medical education and curricular development
|January 16, 2026
概括
医学学生发现,在高敏度的模拟过程中,同情的沟通是具有挑战性的. 这凸显了在压力较大的情况下需要更多的实践,以提高患者护理技能.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 在高急性患者接触期间,翻译学到的同情沟通技巧是具有挑战性的.
- 开发了一个新的课程来评估医学学生在具有挑战性的医学模拟期间的同情沟通.
研究的目的:
- 评估一套新课程在医学学生中评估同情沟通技能的有效性.
- 在管理高急性患者时,识别自我感知的同情沟通能力的差距.
主要方法:
- 医学四年级学生 (n=120) 参加了高保真模拟,将急性医疗管理与沟通挑战相结合.
- 学生在模拟之前和之后完成了自我评估问卷,以测量对同情沟通的看法.
- 数据被描述性地分析,以比较模拟前后的自我感知.
主要成果:
- 模拟后的自我评估显示,学生认为自己经常或总是能够表现出同情的沟通能力下降了18.5个百分点.
- 学生们报告说,他们以前对同情沟通的培训有限,主要是基于课堂的.
- 参与者发现,在高压患者管理期间实时应用这些技能比预期的更具挑战性.
结论:
- 高敏度模拟有效地发现了学生自我感知的沟通能力中未被识别的差距.
- 研究结果支持在医学课程中更早地整合纵向,高准确度的同情沟通培训.
- 增强培训对于准备学习者应对苛刻的临床遭遇至关重要.
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